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1659143824
KATHRYN NICHOLE DEPRIEST
STARKVILLE, MS
NPI
1659143824
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MS PTA5511)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
MRS. KATHRYN NICHOLE DEPRIEST LPTA
12667 MS HIGHWAY 12 W
STARKVILLE, MS 39759-6054
Phone number: 601-562-3931
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Mailing Address
MRS. KATHRYN NICHOLE DEPRIEST LPTA
12667 MS HIGHWAY 12 W
STARKVILLE, MS 39759-6054
Phone number:
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